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Home My WebLink AboutBLD-90-389 • oF-*Y`9R /34) o i %'lla� o��4 io f "'= ti`p TOW \ 0 F YARMOUTH r9 (0A '� H' /Jy c MATTACME S if / - ,"` �+ 0 Application for a Permit to Build No. 3 (n gad yC UPON FINAL APPROVAL0/ "' I AI MAP (4#3-5— LOT��. FEE MUST ACCOMPANY THIS APPLICATION. l�/3S DATE _�% E. 19 90 The undersigned hereby applies for a permit to build ( o� W acco ding to the following specifications —, /a((q0 c/Name of property owner Sosepit. r L\ ECAC Tel.77/ -3097 Address Rc G ernhedcie C'docl- l).._l. /Qrwu '*L 0 ac.sr 2.N rfieofArchitect(ifany) / Tel. Name of builder __Y{ti! C.n* Address 41/.1e40 1' - . , .. .1 ' 4. License No. Cft /7.0 Tel. >5e-,6 `CKs,' 5. Na a of Mason Address icense No. Tel. �^ 7. Construction address GIJA�ffIAIN (enter W YAe 7 ' FloodDistrict 2_ _ > r 8 .Date of subdivision Approva plain zone 4- 1 c"- Zone 9. Private dwelling lJ stimated Cost DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family 0 11117p90."D 11. Commercial 0 $' ' - ' Kitchen l i i c4— ' ••W.— Dining Rm. 12. Other 0 4ted-c) -- /o` /� Living Rm. 13. No. of stories / / /0 i ko� Bed Rm. 14. Foundation — Full 0 Half Crawl ❑ Slab (TSO . Cr'° Bath 15. Materials — Wood 0 Cement 0 Other 0 Deck ict:X4t g. �l ' 16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed pbrctt Family Rm. 17. Garage — 1 ❑ 2 ❑ Sun room 18. Swimming pool - Size Garage 19. Storage shed — Size Shed 20. Stove —Wood 0 Coal 0 Alterations 21. Size of lot: No. of feet front No. of feet rear No. of feet ddep 22. Size of building: No. of feet front No. of feet side No. of feet rear 2a Distance from nearest building: Front Ft. side Ft. side Rear 24. Distance back from line or street From rear lot line Side line LOT RELEASED BY Signature lirOr PLANNING BOARD Address ?64 arty a 0 red Date 0/446.11 ALIA TOWN OF YARMOUTH BUILDING DEPARTMENT • CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: /6 JOB LOCATION: Br cc?J 1- &N d 04- t /1"4.444- (3;469° NUMBER":�- ( STREET VILLAGE OWNER OF PROPERTY: (10 Sep(t FLS ctip CXC-CW � CONSTRUCTION SUPERVISOR: 1)00? c)) Sle447' 0 vi ( 77 7 (�c -(0p ` / NAMEJ / LICENSE NO. PHONE NO. ADDRESS: S A (GCc� 5 !'. P�rAOJyu� #A , LICENSED DESIGNEE: (IF OTHER THAN SUPERVISOR) NAME LICENSE NO. 2.15 RESPONSIBILITY OF EACH LICENSE HOLDER: 2.15.1 THE LICENSE HOLDER SHALL BE FULLY AND COMPLETELY RESPONSIBLE FOR ALL WORK FOR WHICH HE IS SUPERVISING. HE SHALL BE RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE STATE BUILDING CODE AND THE DRAWINGS AS APPROVED BY THE BUILDING OFFICIAL 2.15.2 THE LICENSE HOLDER SHALL BE RESPONSIBLE TO SUPERVISE THE CONSTRUCTION, RECONSTRUCTION, ALTERATION, REPAIR, REMOVAL OR DEMOLITION INVOLVING THE STRUCTURAL ELEMENTS OF BUILDING AND STRUCTURES ONLY PURSUANT TO THE STATE BUILDING CODE AND ALL OTHER APPLICABLE LAWS OF THE COMMONWEALTH, EVEN THOUGH HE, THE LICENSE HOLDER, IS NOT THE PERMIT HOLDER BUT ONLY A SUB- CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER. 2.15.3 THE LICENSE HOLDER SHALL IMMEDIATELY NOTIFY THE BUILDING OFFICIAL IN WRITING OF THE • DISCOVERY OF ANY VIOLATIONS WHICH ARE COVERED BY THE BUILDING PERMIT. 2.15.4 ANY LICENSEE WHO SHALL WILLFULLY VIOLATE SUBSECTIONS 2.15.1, 2.15.2 OR 2.15.3 OR ANY OTHER SECTION OF THESE RULES AND REGULATIONS AND ANY PROCEDURES, AS AMENDED, SHALL BE SUBJECT TO REVOCATION OR SUSPENSION OF LICENSE BY THE BOARD. 2.16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN THE NAME, SIGNATURE AND LICENSE NUMBER OF THE CONSTRUCTION SUPERVISOR WHO IS TO SUPERVISE THOSE PERSONS ENGAGED IN CONSTRUCTION, RECON- STRUCTION, ALTERATION, REPAIR, REMOVAL OF DEMOLITION AS REGULATED BY SECTION 109.1.1 OF THE CODE AND THESE RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISING SAID. PERSONS, THE WORK SHALL IMMEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED ON THE RECORDS OF THE BUILDING DEPARTMENT. I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSING CON STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAN THE CONSTRUCTION SPECTION PROCEDUR AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING ;:z: ; IAL / : If BUILDING OFFICIAROVAL: APPLICANT: 11----)//t4/F' /4), Corr"' • BUILDING PERMIT II: ADDRESS: e k, SI-./�4 rtwu7 // 144' TELE. NO. : •6:562 DATE FILED: 6 z 0 BLDG. SITE LOCATION: 0-44bWmu/u 3.7A MAP�/l,:7 )7 955- , / G LOT f/ // THE FOLLOWING INFORMATION OUTLINES THE PROCEDURAL STEPS REQUIRED TO OBTAIN A PERMIT TO BUILD, ALTER, OR ADD TO A STRUCTURE WITHIN THE TOWN OF YARMOUTH. THE BUILDING DEPARTMENT WILL DETER- ' MINE COMPLIANCE TO THE FOLLOWING (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOOD PLAINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUGH THE FOLLOWING DEPARTMENTS: RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY. ENGINEERING DEPARTMENT: DETERMINES COMPLIANCE FOR PARKING AND DRAINAGE. CONSERVATION COMMISSION: DETERMINES COMPLIANCE TO WETLANDS ACTS, I.E. : IF LOT(S) BORDER ANY TYPE OF WETLANDS, STREAMS, PONDS, RIVERS, OCEANS, BOGS, BAYS, MARSH LAND, ETC. HEALTH DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REGULATIONS, I.E. : REQUIRE- MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC HEALTH ACTIVITIES. FIRE DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL SAFETY, PROPERTY PROTECTION, I.E. , SMOKE DETECTORS, SPRINKLER SYSTEMS ETC. THE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR ISSUING THE REQUIRED BUILDING PERMIT: REVIEWED BY: 1. WATER DEPARTMENT DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT A DATE: 94,1, * N/A: / IUSTR AND/OR COMMERCIAL PERMITS • S. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE ALL STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING PERMIT. • COMMENTS: • BLM/89 tg . o s oPEd —' PoiQcH sf e(77gt / / AS ;rtei f 7t7- f7 \fI� riTSZ SM/JL� Ferans /R-,d"omit ,✓G 44� iya d 5fr I L4o.,¢D 77E • PLOT PLAN - • FOR LOT # Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) , Well rig .• I , I I (lot '7t''l'f ft. rear) I• — — — — Abuttor'sI Abutter' Name I NameLot # Lot # • I - REAR YARD :f this is a • 3.a If this :orner lot, ft. ,r -l wrwrit corner - write in name I srnty. name o: • :f street. I . ' w other o • •0- street. ro d - r DEcI< 1 • w 4 NPuJ: RPPRa+c /01 1 4/et i SIDE YARD • >F Q Q 0 : SIDE YARD HOUSE -- - - L cii A9 1 FT \O 0 • I SET BACK - 79 ft. 4-1s Si (lot 61` ft. frontage) \ / Chad er/ozi/2-- eo 4-4.Pr N /N / (NAME OF STREET) \ • • • / \ Information F+411€77-d. //ne"1 • ./ \ Supplied by OR/O